Physician
South Denver Gastroenterology, PC
South Denver Gastroenterology, PC was paid $64K by Medicaid between Mar 2018 and Jun 2022, across 7 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 43% of everything it billed.
33Billing provider infoSOUTH DENVER GASTROENTEROLOGY, PC
LONE TREE, CO 80124
LONE TREE, CO 80124
33aNPI1447364831assigned 08/19/2006
33bProvider typeGastroenterology Physician
28Total paid$64K
24GClaims1,137
24DCodes billed7
24AFirst – last monthMar 2018 – Jun 2022
Compared with peers
Next to other Gastroenterology Physician providers in Colorado
Rank by total paid#20 of 34
Median peer was paid$75K
This provider vs. median0.9×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 97 | $5K | |
| 2019 | 207 | $11K | |
| 2020 | 394 | $21K | |
| 2021 | 265 | $18K | |
| 2022 | 174 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 43% | 608 | 324 | $28K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 21% | 212 | 128 | $13K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 18% | 141 | 133 | $11K |
| 99222 | Initial hospital care, per day, moderate complexity | 9.4% | 81 | 77 | $6K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.1% | 13 | 13 | $2K |
| 99223 | Prolong inpt eval add15 m | 2.9% | 17 | 15 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 2.8% | 65 | 33 | $2K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialROMAN, RICHARD (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| New Life, LLC | Newport News, VA | $10.58M |
| Behavioral Health Associates of Virginia | Newport News, VA | $146K |
| South Denver Gastroenterology, PC | Englewood, CO | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.